Internet use, eHealth literacy and fear of COVID-19 among nursing students in the Philippines

Authors

  • Ryan Michael Oducado West Visayas State University https://orcid.org/0000-0001-9107-3069
  • Cyruz Tuppal St. Dominic College of Asia
  • Homelo Estoque Far Eastern University
  • Jonaid Sadang Mindanao State University-Marawi https://orcid.org/0000-0003-4901-3016
  • Daryl Superio Aquaculture Department, Southeast Asian Fisheries Development Center https://orcid.org/0000-0001-9832-772X
  • Don Vicente Real St. Dominic College of Asia
  • Mary Nellie Roa St. Dominic College of Asia
  • Xerxes Malaga Negros Occidental Comprehensive Health Program https://orcid.org/0000-0003-4004-8263
  • Jejomar Quiros Saint Jude College-PHINMA
  • Maria Teresa Fajardo University of Pangasinan-PHINMA
  • Ronnell D. Dela Rosa. Bataan Peninsula State University

DOI:

https://doi.org/10.46661/ijeri.5520

Keywords:

COVID-19, eHealth literacy, fear, Internet, students

Abstract

The COVID-19 outbreak situation brought into focus not only the safety but also the mental wellbeing of nursing students. At present, the level of fear of COVID-19 and associated factors among nursing students in the Philippines is not well understood. This cross-sectional online survey determined the relationship between Internet use and eHealth literacy with fear of COVID-19. One thousand three hundred and sixty-seven (n=1,367) answered an online survey using the adopted eHealth Literacy Scale (eHEALS), and Fear of COVID-19 Scale (FCV-19S) administered from May 1 to 15, 2020. Descriptive statistics, tests for differences, and correlational analysis were performed. Results indicated that the composite score of the FCV-19S was 3.65, indicating moderate to high levels of fear. Fear of COVID-19 significantly differed based on sex, year level, and location. A significant inverse relationship was found between the average daily use of the Internet and fear of COVID-19. On the other hand, no significant association was noted between eHealth literacy and fear of COVID-19. The first wave of the COVID-19 outbreak has resulted in a far-reaching impact on nursing students' psychological wellbeing. This study highlights the value of the Internet and its use during the outbreak may not always lead to higher fear related to COVID-19. Nursing schools may need to create strategies to promote regulated and responsible Internet use, address students' mental health concerns and develop interventions to respond proactively to mitigate or reduce fear among nursing students during the pandemic.

Downloads

Download data is not yet available.

References

Ahmad, A. R., & Murad, H. R. (2020). The impact of social media on panic during the COVID-19 pandemic in Iraqi Kurdistan: Online questionnaire study. Journal of Medical Internet Research, 22(5), e19556. https://doi.org/10.2196/19556

Ahorsu, D. K., Lin, C. Y., Imani, V., Saffari, M., Griffiths, M. D., & Pakpour, A. H. (2020). The fear of COVID-19 scale: Development and initial validation. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-020-00270-8

Aristovnik, A., Keržič, D., Ravšelj, D., Tomaževič, N., & Umek, L. (2020). Impacts of the COVID-19 pandemic on life of higher education students: A global perspective. Sustainability, 12(20), 8438. https://doi.org/10.3390/su12208438

Arora, A., Jha, A. K., Alat, P., & Das, S. S. (2020). Understanding coronaphobia. Asian Journal of Psychiatry, 54. https://doi.org/10.1016/j.ajp.2020.102384

Aslan, H., & Pekince, H. (2020). Nursing students' views on the COVID‐19 pandemic and their perceived stress levels. Perspectives in Psychiatric Care. https://doi.org/10.1111/ppc.12597

Bendau, A., Petzold, M. B., Pyrkosch, L., Maricic, L. M., Betzler, F., Rogoll, J., Große, J., Ströhle, A., & Plag, J. (2020). Associations between COVID-19 related media consumption and symptoms of anxiety, depression and COVID-19 related fear in the general population in Germany. European Archives of Psychiatry and Clinical Neuroscience. https://doi.org/10.1007/s00406-020-01171-6

Biana, H. T., & Joaquin, J. J. B. (2020). The ethics of scare: COVID-19 and the Philippines' fear appeals. Public Health, 183, 2-3. https://doi.org/10.1016/j.puhe.2020.04.017

Brørs, G., Norman, C. D., & Norekvål, T. M. (2020). Accelerated importance of eHealth literacy in the COVID-19 outbreak and beyond. European Journal of Cardiovascular Nursing, 19(6), 458-461. https://doi.org/10.1177/1474515120941307

Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., Dong, J., & Zheng, J. (2020). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research, 112934. https://doi.org/10.1016/j.psychres.2020.112934

Caycho-Rodríguez, T., Vilca, L. W., Cervigni, M., Gallegos, M., Martino, P., Portillo, N., Barés, I., Calandra, M., & Videla, C. B. (2020). Fear of COVID-19 scale: Validity, reliability and factorial invariance in Argentina’s general population. Death Studies. https://doi.org/10.1080/07481187.2020.1836071

Chen, I. H., Chen, C. Y., Pakpour, A. H., Griffiths, M. D., & Lin, C. Y. (2020). Internet-related behaviors and psychological distress among schoolchildren during COVID-19 school suspension. Journal of the American Academy of Child and Adolescent Psychiatry, 59(10), 1099-1102. https://doi.org/10.1016/j.jaac.2020.06.007

Chong, Y. Y., Cheng, H. Y., Chan, H. Y. L., Chien, W. T., & Wong, S. Y. S. (2020). COVID-19 pandemic, infodemic and the role of eHealth literacy. International Journal of Nursing Studies, 108, 103644. https://doi.org/10.1016/j.ijnurstu.2020.103644

De, R.,Pandey, N., & Pal, A., (2020). Impact of digital surge during covid-19 pandemic: A viewpoint on research and practice. International Journal of Information Management, 55, 102171. https://doi.org/10.1016/j.ijinfomgt.2020.102171

Doshi, D., Karunakar, P., Sukhabogi, J. R., Prasanna, J. S., & Mahajan, S. V. (2020). Assessing coronavirus fear in Indian population using the fear of COVID-19 scale. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-020-00332-x

Elsharkawy, N. B., & Abdelaziz, E. M. (2020). Levels of fear and uncertainty regarding the spread of coronavirus disease (COVID‐19) among university students. Perspectives in Psychiatric Care. https://doi.org/10.1111/ppc.12698

Gabbiadini, A., Baldissarri, C., Durante, F., Valtorta, R. R., De Rosa, M., & Gallucci, M. (2020). Together apart: The mitigating role of digital communication technologies on negative affect during the COVID-19 outbreak in Italy. Frontiers in Psychology, 11, 2763. https://doi.org/10.3389/fpsyg.2020.554678

Gao, J., Zheng, P., Jia, Y., Chen, H., Mao, Y., Chen, S., Wang, Y., Fu, H., & Dai, J. (2020). Mental health problems and social media exposure during COVID-19 outbreak. Plos One, 15(4), e0231924. https://doi.org/10.1371/journal.pone.0231924

González-Padilla, D. A., & Tortolero-Blanco, L. (2020). Social media influence in the COVID-19 Pandemic. International Braz J Urol, 46(suppl.1), 120-124. https://doi.org/10.1590/s1677-5538.ibju.2020.s121.

Hampton, K., Lee, R., Lu, W., Shin, I., & Purcell, K. (2015). Psychological stress and social media use. Pew Research Center. https://www.pewresearch.org/internet/2015/01/15/psychological-stress-and-social-media-use-2/#fn-12666-16

Harnett, S. (2020). Health literacy, social media and pandemic planning. Journal of Consumer Health on the Internet, 24(2), 157-162. https://doi.org/10.1080/15398285.2020.1756677

Harper, C. A., Satchell, L. P., Fido, D., & Latzman, R. D. (2020). Functional fear predicts public health compliance in the COVID-19 pandemic. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-020-00281-5

Hossain, M. A., Jahid, M. I. K., Hossain, K. M. A., Walton, L. M., Uddin, Z., Haque, M. O., Kabir , M.F., Arafat, S. M. Y., Sakel, M. Faruqui, R., & Hossain, Z. (2020). Knowledge, attitudes, and fear of COVID-19 during the rapid rise period in Bangladesh. Plos One, 15(9), e0239646. https://doi.org/10.1371/journal.pone.0239646

Huang, L., Lei, W., Xu, F., Liu, H., & Yu, L. (2020). Emotional responses and coping strategies in nurses and nursing students during Covid-19 outbreak: A comparative study. Plos One, 15(8), e0237303. https://doi.org/10.1371/journal.pone.0237303

Király, O., Potenza, M. N., Stein, D. J., King, D. L., Hodgins, D. C., Saunders, J. B., ... & Abbott, M. W. (2020). Preventing problematic internet use during the COVID-19 pandemic: Consensus guidance. Comprehensive Psychiatry, 152180. https://doi.org/10.1016/j.comppsych.2020.152180

Konstantinov, V., Berdenova, S., Satkangulova, G., Reznik, A., & Isralowitz, R. (2020). COVID-19 impact on Kazakhstan university student fear, mental health, and substance use. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-020-00412-y

Li, X., & Liu, Q. (2020). Social media use, eHealth literacy, disease knowledge, and preventive behaviors in the COVID-19 pandemic: Cross-sectional study on Chinese netizens. Journal of Medical Internet Research, 22(10), e19684. https://doi.org/10.2196/19684

Lin, C. Y., Broström, A., Griffiths, M. D., & Pakpour, A. H. (2020a). Investigating mediated effects of fear of COVID-19 and COVID-19 misunderstanding in the association between problematic social media use, psychological distress, and insomnia. Internet Interventions, 21, 100345. https://doi.org/10.1016/j.invent.2020.100345

Lin, C. Y., Ganji, M., Griffiths, M. D., Bravell, M. E., Broström, A., & Pakpour, A. H. (2020b). Mediated effects of insomnia, psychological distress and medication adherence in the association of eHealth literacy and cardiac events among Iranian older patients with heart failure: A longitudinal study. European Journal of Cardiovascular Nursing, 19(2), 155-164. https://doi.org/10.1177/1474515119873648

Mamun, M. A., & Griffiths, M. D. (2020). First COVID-19 suicide case in Bangladesh due to fear of COVID-19 and xenophobia: Possible suicide prevention strategies. Asian Journal of Psychiatry, 51, 102073. https://doi.org/10.1016/j.ajp.2020.102073

Mertens, G., Gerritsen, L., Duijndam, S., Salemink, E., & Engelhard, I. M. (2020). Fear of the coronavirus (COVID-19): Predictors in an online study conducted in March 2020. Journal of Anxiety Disorders, 74, 102258. https://doi.org/10.1016/j.janxdis.2020.102258

Monkmana, H., Kushniruka, A. W., Barnetta, J., Boryckia, E. M., Greinerb, L. E., & Sheetsc, D. (2017). Are health literacy and eHealth literacy the same or different?. Studies in Health Technology and Informatics, 245:178-182. https://doi.org/10.3233/978-1-61499-830-3-178

Moralista, R. B., & Oducado, R. M. F. (2020). Faculty perception toward online education in a state college in the Philippines during the coronavirus disease 19 (COVID-19) pandemic. Universal Journal of Educational Research, 8(10), 4736-4742. https://doi.org/10.13189/ujer.2020.081044

Moscadelli, A., Albora, G., Biamonte, M. A., Giorgetti, D., Innocenzio, M., Paoli, S. Lorini, C., Bonanni, P., & Bonaccorsi, G. (2020). Fake news and Covid-19 in Italy: Results of a quantitative observational study. International Journal of Environmental Research and Public Health, 17(16), 5850. https://doi.org/10.3390/ijerph17165850

Mussi, F. C., Pires, C. G. D. S., Silva, R. M. D., Macedo, T. T. S. D., & Santos, C. A. D. S. T. (2020). Stress level among undergraduate nursing students related to the training phase and sociodemographic factors. Revista Latino-Americana de Enfermagem, 28. https://doi.org/10.1590/1518-8345.3036.3209

Neter, E., & Brainin, E. (2019). Association between health literacy, ehealth literacy, and health outcomes among patients with long-term conditions. European Psychologist, 24, 68-81. https://doi.org/10.1027/1016-9040/a000350

Nguyen, H. T., Do, B. N., Pham, K. M., Kim, G. B., Dam, H. T. B., Nguyen, T. T., Nguyen, T. T. P., Nguyen, Y. H., Sørensen, K., Pleasant, A., & Duong, T. Van. (2020). Fear of covid-19 scale-associations of its scores with health literacy and health-related behaviors among medical students. International Journal of Environmental Research and Public Health, 17(11), 4164. https://doi.org/10.3390/ijerph17114164

Njim, T., Mbanga, C., Mouemba, D., Makebe, H., Toukam, L., Kika, B., & Mulango, I. (2020). Determinants of depression among nursing students in Cameroon: A cross-sectional analysis. BMC Nursing, 19(26). https://doi.org/10.1186/s12912-020-00424-y

Norman, C. D., & Skinner, H. A. (2006a). eHEALS: the eHealth literacy scale. Journal of Medical Internet Research, 8(4), e27. https://doi.org/10.2196/jmir.8.4.e27

Norman, C. D., & Skinner, H. A. (2006b). eHealth literacy: Essential skills for consumer health in a networked world. Journal of Medical Internet Research, 8(2), e9. https://doi.org/10.2196/jmir.8.2.e9

Oducado, R. M. F., Frigillano, P. R. S., Gunce, J. J. T., Jover, P. L. B., Meliton, P. N., & Pangilinan, K. T. (2017). Guidance needs of nursing students in Iloilo City, Philippines. PEERS Inc. Multidisciplinary Research Journal, 1(2), 35-47. http://hdl.handle.net/10755/17285

Oducado, R. M. F. (2019). Gen Z nursing students' usage, perception and satisfaction with facebook for educational purposes: Tool for learning or distraction. Indonesian Nursing Journal of Education and Clinic, 4(1), 79-89. http://dx.doi.org/10.24990/injec.v4i1.241

Oducado, R. M. F., Sales, M. R., Magarzo, A. J. P., Panes, P. M. A., & Lapastora, J. T. P. (2019). Perceptions and attitude on using social media responsibly: Toward social media literacy in nursing education. Belitung Nursing Journal, 5(3), 116-122. https://doi.org/10.33546/bnj.789

Oducado, R. M. F. & Moralista, R. B. (2020). Filipino nursing students' ehealth literacy and criteria used for selection of health websites. Annals of Tropical Medicine & Public Health; 23(S13B), SP231343. http://doi.org/10.36295/ASRO.2020.231343

Oducado, R. M. F., Rabacal, J. S., Moralista, R. B., & Tamdang, K. A. (2021a). Perceived stress due to COVID-19 pandemic among employed professional teachers. International Journal of Educational Research and Innovation, 15, 305-316. https://doi.org/10.46661/ijeri.5284

Oducado, R. M. F., Parreño-Lachica‬, G. M. & Rabacal, J. S., (2021b). Personal resilience and its influence on COVID-19 stress, anxiety and fear among graduate students in the Philippines. International Journal of Educational Research and Innovation, 15, 419-431. https://doi.org/10.46661/ijeri.5484

Oh, S.-H., Lee, S. Y., & Han, C. (2020). The effects of social media use on preventive behaviors during infectious disease outbreaks: The mediating role of self-relevant emotions and public risk perception. Health Communication. https://doi.org/10.1080/10410236.2020.1724639

Pang, N. T. P., Kamu, A., Hambali, N. L. B., Mun, H. C., Kassim, M. A., Mohamed, N. H., Ayu, F., Sharizman, S., Rahim, S. A., Omar, A., & Jeffree, M. S. (2020). Malay version of the fear of COVID-19 scale: Validity and reliability. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-020-00373-2

Perz, C. A., Lang, B. A., & Harrington, R. (2020). Validation of the fear of COVID-19 scale in a US college sample. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-020-00356-3

Philippine Department of Health. (2020). DOH COVID-19 case bulletin # 274. https://www.doh.gov.ph/covid-19/case-tracker

Rabacal, J. S., Oducado, R. M. F., & Tamdang, K. A. (2020). COVID-19 impact on the quality of life of teachers: A cross-sectional study. Asian Journal for Public Opinion Research, 8(4), 478-492. https://doi.org/10.15206/ajpor.2020.8.4.478

Rahman, M. A., Hoque, N., Alif, S. M., Salehin, M., Islam, S. M. S., Banik, B., Sharif, A., Nazim, NB, Sultana, F., & Cross, W. (2020). Factors associated with psychological distress, fear and coping strategies during the COVID-19 pandemic in Australia. Globalization and Health, 16(1), 1-15. https://doi.org/10.1080/07481187.2020.1836071

Reznik, A., Gritsenko, V., Konstantinov, V., Khamenka, N., & Isralowitz, R. (2020). COVID-19 fear in Eastern Europe: Validation of the fear of COVID-19 scale. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-020-00283-3

Rodríguez-Hidalgo, A. J., Pantaleón, Y., Dios, I., & Falla, D. (2020). Fear of COVID-19, stress, and anxiety in university undergraduate students: A predictive model for depression. Frontiers in Psychology, 11, 3041. https://doi.org/10.3389/fpsyg.2020.591797

Ross, J. G., & Myers, S. M. (2017). The current use of social media in undergraduate nursing education: A review of the literature. CIN: Computers, Informatics, Nursing, 35(7), 338-344. https://doi.org/10.1097/CIN.0000000000000342

Saravanan, C., Mahmoud, I., Elshami, W., & Taha, M. H. (2020). Knowledge, anxiety, fear, and psychological distress about COVID-19 among university students in the United Arab Emirates. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.582189

Satici, B., Gocet-Tekin, E., Deniz, M. E., & Satici, S. A. (2020). Adaptation of the fear of COVID-19 scale: Its association with psychological distress and life satisfaction in Turkey. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-020-00294-0

Savitsky, B., Findling, Y., Ereli, A., & Hendel, T. (2020). Anxiety and coping strategies among nursing students during the covid-19 pandemic. Nurse Education in Practice, 46, 102809. https://doi.org/10.1016/j.nepr.2020.102809

Son, C., Hegde, S., Smith, A., Wang, X., & Sasangohar, F. (2020). Effects of COVID-19 on college students' mental health in the United States: Interview survey study. Journal of Medical Internet Research, 22(9), e21279. https://doi.org/10.2196/21279

Soraci, P., Ferrari, A., Abbiati, F. A., Del Fante, E., De Pace, R., Urso, A., & Griffiths, M. D. (2020). Validation and psychometric evaluation of the Italian version of the Fear of COVID-19 Scale. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-020-00277-1

Tee, M. L., Tee, C. A., Anlacan, J. P., Aligam, K. J. G., Reyes, P. W. C., Kuruchittham, V., & Ho, R. C. (2020). Psychological impact of COVID-19 pandemic in the Philippines. Journal of Affective Disorders, 277, 379-391. https://doi.org/10.1016/j.jad.2020.08.043

Ventola, C. L. (2014). Social media and health care professionals: benefits, risks, and best practices. P & T: A Peer-Reviewed Journal for Formulary Management, 39(7), 491-520. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4103576/

World Health Organization. (2020a). WHO coronavirus disease (COVID-19) dashboard. https://covid19.who.int/?gclid=CjwKCAiAlNf-BRB_EiwA2osbxQrFudstcjbDvNgdQ6hsZluDeBxvRoq5ixPHc_3cX5kpodGpmdtFvRoCINsQAvD_BwE

World Health Organization. (2020b). Call for action: Managing the infodemic. https://www.who.int/news/item/11-12-2020-call-for-action-managing-the-infodemic

World Health Organization. (2020c). Managing the COVID-19 infodemic: Promoting healthy behaviors and mitigating the harm from misinformation and disinformation. https://www.who.int/news/item/23-09-2020-managing-the-covid-19-infodemic-promoting-healthy-behaviours-and-mitigating-the-harm-from-misinformation-and-disinformation

World Health Organization. (2020d). Mental health and psychosocial considerations during the COVID-19 outbreak. https://www.who.int/docs/default-source/coronaviruse/mental-health-considerations.pdf

Xu, C., Zhang, X., & Wang, Y. (2020). Mapping of health literacy and social panic via web search data during the COVID-19 public health emergency: Infodemiological study. Journal of Medical Internet Research, 22(7), e18831. https://doi.org/10.2196/18831

Yang, B. X., Xia, L., Huang, R., Chen, P., Luo, D., Liu, Q., Kang, L. J., Zhang, Z., Liu, Z., Yu, S., Li, X., & Wang, X.Q. (2020). Relationship between eHealth literacy and psychological status during COVID‐19 pandemic: A survey of Chinese residents. Journal of Nursing Management. https://doi.org/10.1111/jonm.13221

Downloads

Published

2021-05-03

How to Cite

Oducado, R. M., Tuppal , C., Estoque , H. ., Sadang , J. ., Superio , D. ., Real, D. V., … Dela Rosa. , R. D. . (2021). Internet use, eHealth literacy and fear of COVID-19 among nursing students in the Philippines. IJERI: International Journal of Educational Research and Innovation, (15), 487–502. https://doi.org/10.46661/ijeri.5520

Issue

Section

Artículos